Evidence map›Paper›PMID 28040686›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Graphics help patients distinguish between urgent and non-urgent deviations in laboratory test results.

Brian J Zikmund-Fisher, Aaron M Scherer, Holly O Witteman, Jacob B Solomon, Nicole L Exe, Beth A Tarini, Angela Fagerlin

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 5 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
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  3. Taxonomies for synthesizing the evidence on communicating numbers in health: Goals, format, and structure.Risk analysis : an official publication of the Society for Risk Analysis · 2022
    Pooled it
  4. Interventions to increase patient portal use in vulnerable populations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2019
    Pooled it
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  15. Visualizing machine learning-based predictions of postpartum depression risk for lay audiences.Journal of the American Medical Informatics Association : JAMIA · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Brian J Zikmund-FisherDepartment of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA.
Aaron M SchererCenter for Bioethics and Social Sciences in Medicine, University of Michigan.
Holly O WittemanDepartment of Family and Emergency Medicine, Laval University, Quebec City, Quebec, Canada.
Jacob B SolomonCenter for Bioethics and Social Sciences in Medicine, University of Michigan.
Nicole L ExeCenter for Bioethics and Social Sciences in Medicine, University of Michigan.
Beth A TariniDepartment of Pediatrics, University of Iowa.
Angela FagerlinDepartment of Population Health Sciences, University of Utah, Salt Lake City, UT, USA.
University of Michigan–Ann Arbor · USOffice of Education · USUniversity of Iowa · USUniversity of Utah · US

Funding

AHRQ HHS R01 HS021681
6 · The paper itself

Abstract

objectiveMost electronic health record systems provide laboratory test results to patients in table format. We tested whether presenting such results in visual displays (number lines) could improve understanding. MATERIALS AND

methodsWe presented 1620 adults recruited from a demographically diverse Internet panel with hypothetical results from several common laboratory tests, first showing near-normal results and then more extreme values. Participants viewed results in either table format (with a "standard range" provided) or one of 3 number line formats: a simple 2-color format, a format with diagnostic categories such as "borderline high" indicated by colored blocks, and a gradient format that used color gradients to smoothly represent increasing risk as values deviated from standard ranges. We measured respondents' subjective sense of urgency about each test result, their behavioral intentions, and their perceptions of the display format.

resultsVisual displays reduced respondents' perceived urgency and desire to contact health care providers immediately for near-normal test results compared to tables but did not affect their perceptions of extreme values. In regression analyses controlling for respondent health literacy, numeracy, and graphical literacy, gradient line displays resulted in the greatest sensitivity to changes in test results. DISCUSSION: Unlike tables, which only tell patients whether test results are normal or not, visual displays can increase the meaningfulness of test results by clearly defining possible values and leveraging color cues and evaluative labels.

conclusionPatient-facing displays of laboratory test results should use visual displays rather than tables to increase people's sensitivity to variations in their results.

Indexed as

Clinical Laboratory TechniquesComputer GraphicsDecision MakingElectronic Health RecordsHumansPatient Access to RecordsUser-Computer Interfaceclinical laboratory information systemscomputer graphicsdecision makingeducation of patientselectronic health record

Identifiers

PMID28040686
PMCPMC5565988
OpenAlexW2563006377

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.